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CONFIDENTIALINDIANINSTITUTEOFTECHNOLOGYKANPUR

IITPOST OFFICE,KANPUR -208016

LETTER OF REFERENCE

Note to the Candidate:

Give this form to a referee who can help us with his assessment of your academic potential for Ph.D.The referee may be requested to mail it directly to us after filling it.

Name of the Applicant ____________________________________________________________________________

Department/Programme to which admission is sought

Note for the Referee

To help us in the appraisal of the candidates case for admission to a graduate programme at IIT Kanpur, you are requested to fillin the following information to the best of your knowledge. This information will be treated as strictly confidential.

1. I have known the applicant for years.

My knowledge of this student based on:

Having him/her in one or more courses

Knowing him/her personally

Supervision of his/her thesis/project

Inquiry and discussion with my colleagues

2. Performance in my Courses:Course Title No. of Students Grade Remarks

. The candidate ranks approximately _____________ in a class of about _______________ students.

4. My rating of the candidate in following trials:Excellent Good Poor Unable to judge

Analytical Ability

Experimental Skills

Motivation

Written and Oral Expression

Responsibility

Teaching Ability

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5. Any other remarks ____________________________________________________________________________

6. To summarize, I would say that the applicant:

is likely to become a brilliant scholar or an outstanding leader in his/her performance

is likely to do very well in the Ph. D. programme

is likely to perform satisfactory

is not a good prospect

7. My recommendation :

I recommend him without any reservations

I recommend him

I do not recommend him

Name of the Referee _______________________________ Signature ______________________________

Designation/Position _______________________________ Date _______________________________

Address _________________________________________________________________________

_________________________________________________________________________

_______________________________ Pin Code _________________________________

Professional qualification of the Referee ______________________________________________________

Please mail this form (before November 15 for admission in December semester)

directly to :

The Convener, DPGC

Department/ Programme to which admission is sought ________________________________

Indian Institute of Technology Kanpur

Kanpur 208 016 U.P.